Dr. Chinwe Orabuchi: Explains Children with Diabetes

I am Dr. Chinwe Orabuch, An Acute Care Nurse Practitioner with a Doctorate Degree in Nursing Practice. Her journey in healthcare began with a Bachelor of Science Degree in Biology and a minor in Chemistry in 2008. Throughout her studies, she found herself captivated by Botany (plant biology), delving deep into scientific mechanisms of plants and their profound impact on human biology.

Inspired by this fascination, Dr. Orabuchi embarked on a personal experiment, transitioning from the standard American diet to a plant-based one. The result was transformative- she witnessed significant improvement in her skin and overall health almost immediately. 

As a black, healthcare professional, she have witnessed firsthand the pervasive health disparities faced by people of color, particularly in conditions, such as diabetes, high blood pressure, and cardiovascular disease. It became her mission to advocate and educate our community on the vital importance of diet and lifestyle change.

In addition to my medical expertise, Dr. Orabuchi has cultivated a passion for vegan culinary craftsmanship. In 2017, she founded Chi's Vegan Kitchen, where she channels her creativity into developing gourmet, vegan and plant-based creations. Each dish is meticulously crated to be both flavorful and nutritious, offering healthier alternatives without compromising on tastes.

She is committed to merging her medical knowledge with culinary artistry to empower individuals to embrace a healthier lifestyle and thrive. Together, let us embark on a journey towards wellness and vitality.

Warm regards,

Dr. Chinwe Orabuchi

Could you please explain what Diabetes is and how it affects children? What are the types of diabetes in children, and is there a difference between children and adults?

Diabetes is a disease that results in too much sugar in the blood. Most common types are 1 and 2. Type 1 diabetes is usually hereditary and results in the pancreas making little or no insulin and Type 2 the body doesn't produce enough insulin. Type 2 has a direct correlation to diet and lifestyle. The difference between children and adults with diabetes is that children are often less capable of identifying pertinent symptoms such as when blood sugar is too high or low. Also sometimes children are unable to be responsible for administering their medications and managing treatment supplies.

Are medications necessary for children with diabetes, and if so, what are the potential side effects? 

With Type 1 diabetes individuals are typically insulin dependent therefore they need insulin to manage their blood sugars. Potential side effects of not managing Type 1 diabetes with medication can result in an hyperglycemic condition called diabetic ketoacidosis in which the body produces excess blood acids called ketones. This is a medical emergency and requires an immediate emergency visit.

Depending on how well the diabetes are being managed, some negative impacts on a child's physical well being include a progression of the disease such as narrowing of blood vessels, kidney complications and heart disease. Children with T1D are said to have poor metabolic control and reduced growth speed. According to the National Institute of Health children with diabetes experience psychological issues such as depression and eating disorders. It is also noted that hey present with feelings of distress, guilt and frustrations.

What are the common challenges that children with diabetes face in managing their conditions? 

Common challenges include, lack of awareness with blood sugar symptoms, managing treatment equipment and difficulty managing blood sugars when playing sports.

What is the recommended treatment plan for children with diabetes?

1. Healthy eating, prioritizing complex carbs, vegetables, and lean proteins.

2. Routine physical activity.

3. Routine blood sugar tracking and medication management.

Can you provide guidance on meal planning and carbohydrates counting?

It is important to incorporate these food groups with each meal, whole grains, fresh fruits and vegetables, lean proteins and healthy fats. Avoiding fried foods, processed foods and pre-packaged sugary foods are essential.

Absolutely, routine physical exercise walks, jogs, bike riding and again fresh foods.

What support can be expected from the schools in managing diabetes during school hours? 

Schools in Texas specifically incorporate a medical plan, safety plan, healthy plan, crisis plan provided by their doctors and parents. This is given to the school nurse to oversee during school hours.

What are the signs of a diabetes related emergency, and what steps should be taken at school or home?

Hypoglycemia occurs when blood sugar becomes too low. Early signs include shakiness, fast heart beat, excessive hunger and excessive sweating.

A blood sugar check should be provided immediately. Once numbers indicate low blood sugar provide a small cup of juice if the child is conscious. Recheck blood sugar in 15 minutes.

If the child is unconscious with low blood sugar and has a prescription or standing order for glucose administration, it should be given per prescribed route (nothing oral). The child should be taken to the hospital immediately for evaluation and stabilization.

Hyperglycemia occurs when blood sugar comes too high. Symptoms include excessive thirst, excessive urinating and dry mouth. Blood sugar should be checked. Treatment is typically insulin coverage per prescribed/ordered dose. A follow up appointment should be schedule with the provider for continuous hyperglycemic events.

Diabetic Ketoacidosis is commonly occurs in those diagnosed with Type 1 diabetes. Symptoms include dehydration, excessive thirst, fatigue, loss of appetite, malaise or weakness, fruity breath is a key  symptom. Blood sugar is typically greater than 300. Extremely common in younger adults EMERGENCY. I absolutely recommend an emergency action plan. These are emergency events, inability to swallow, loss of consciousness and seizures. Call 911 immediately and don't attempt to give anything by mouth. Check blood sugar and if it is less than 70 glucose should be administered as prescribed. 

Blood sugar levels should be monitored three times a day, before breakfast, lunch and dinner with a target range of 70-150 blood sugar levels.

How frequently should be monitored three times a day, before breakfast, lunch and dinner with a target range of 70-150 blood sugar levels.

The American Diabetes Association recommends follow ups every three months and more often if blood sugar levels are not within normal ranges.

What are the key indicators that we should be attentive to between appointments? 

HbA1c, BMI, blood pressure, cholesterol, LDL, HDL, albuminuria, triglycerides.

Is there anything else parents or caregivers need to know about children with diabetes?

Know your child, pay attention to behavior changes, monitor their diet and blood sugars. Focus on providing an active and healthy life, avoiding excessive restriction. Educate them on signs and symptoms of vary blood sugar levels, medication dosages and proper administration.

Dr. Chinwe Orabuchi, DNP AGACNP-BC

Socical Media:

@ms_chinwe

@chisvegankitchen

@rootedhealthholistic

Children with diabetes could emphasize the importance of support, understanding, and empowerment. It's crucial to acknowledge the challenges they face while highlighting their resilience and strength. Encouraging a supportive environment where they feel understood and empowered to manage their condition can make a significant difference in their well-being. It's essential to advocate for resources and education that empower children with diabetes to lead fulfilling lives.

With Love and Gratitude,

Sharon Mae King